Okay ... you'll need to appeal.
It's not common that a surgeon will admit a patient to the hospital unless the surgeon plans to operate. So if that really was the case, your diagnosis for the first day should NOT be definitive, but rather signs/symptoms.
NOTE: if your first date documentation says something along line of "will take to OR after lab tests done," or "suspect need for cholestectomy, will re-evaluate in the morning," then your decision for surgery WAS on the first day (even though it was "iffy")
Hope that helps,
F Tessa Bartels, CPC, CEMC
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